Graduated: 2018
NPI: 1912464884
Practice Locations (4)
1021 W OAKLAND AVE, SUITE 310
JOHNSON CITY, TN 376042192
509 MED TECH PKWY, SUITE 100
JOHNSON CITY, TN 376042578
4055 VALLEY VIEW LN, SUITE 400
DALLAS, TX 752445071
1832 HARPER RD
Beckley, WV 258013366
Source: CMS National Downloadable File, September 2026.